Sexton J Bryan, Sharek Paul J, Thomas Eric J, Gould Jeffrey B, Nisbet Courtney C, Amspoker Amber B, Kowalkowski Mark A, Schwendimann René, Profit Jochen
Department of Psychiatry, Duke University School of Medicine, Duke University Health System, Durham, North Carolina, USA Patient Safety Training and Research Center, Duke University Health System, Durham, North Carolina, USA.
Division of General Pediatrics, Department of Pediatrics, Stanford University, Palo Alto, California, USA California Perinatal Quality Care Collaborative, Palo Alto, California, USA Center for Quality and Clinical Effectiveness, Lucile Packard Cahildren's Hospital, Palo Alto, California, USA.
BMJ Qual Saf. 2014 Oct;23(10):814-22. doi: 10.1136/bmjqs-2013-002042. Epub 2014 May 13.
Leadership WalkRounds (WR) are widely used in healthcare organisations to improve patient safety. The relationship between WR and caregiver assessments of patient safety culture, and healthcare worker burnout is unknown.
This cross-sectional survey study evaluated the association between receiving feedback about actions taken as a result of WR and healthcare worker assessments of patient safety culture and burnout across 44 neonatal intensive care units (NICUs) actively participating in a structured delivery room management quality improvement initiative.
Of 3294 administered surveys, 2073 were returned for an overall response rate of 62.9%. More WR feedback was associated with better safety culture results and lower burnout rates in the NICUs. Participation in WR and receiving feedback about WR were less common in NICUs than in a benchmarking comparison of adult clinical areas.
WR are linked to patient safety and burnout. In NICUs, where they occurred more often, the workplace appears to be a better place to deliver and to receive care.
领导巡视（WR）在医疗保健机构中被广泛用于提高患者安全。WR与医护人员对患者安全文化的评估以及医护人员职业倦怠之间的关系尚不清楚。
这项横断面调查研究评估了在积极参与结构化产房管理质量改进计划的44个新生儿重症监护病房（NICU）中，因WR采取的行动获得反馈与医护人员对患者安全文化和职业倦怠的评估之间的关联。
在3294份发放的调查问卷中，回收了2073份，总体回复率为62.9%。更多的WR反馈与NICU中更好的安全文化结果和更低的职业倦怠率相关。与成人临床领域的基准比较相比，NICU中参与WR和获得WR反馈的情况较少。
WR与患者安全和职业倦怠有关。在WR发生更频繁的NICU中，工作场所似乎是提供和接受护理的更好场所。
